Carpal tunnel release using the MANOS CTR system: Preliminary results in 52 patients
Journal of Hand Surgery
Carpal tunnel release; carpal tunnel syndrome; MANOS; MANOS CTR; minimally invasive surgery
Purpose: To describe a carpal tunnel release technique using the MANOS Carpal Tunnel Release device, with preliminary results in 52 patients. Methods: The MANOS Carpal Tunnel Release device is a blade that divides the transverse carpal ligament using wrist and palm skin punctures. The awake patient provides feedback as the surgeon navigates a 2.1-mm-diameter blunt probe across the undersurface of the ligament from a wrist incision with standard disposable nerve stimulator monitoring. The leading tip of the blunt probe is uninsulated and conducts 2 mA. The surgeon converts the blunt insulated probe into an uninsulated blade by advancing a 0.9-mm needle through the palm with a thumb-activated deployment feature. The surgeon saws the ligament through the 2 skin punctures. We used a validated outcome questionnaire to assess postoperative symptoms at 3 months. Results: Symptom severity and functional status scores compare favorably with literature controls for open and endoscopic surgery at 3 months. One patient required reoperation for incomplete release. There were no tendon or nerve injuries. Conclusions: Preliminary results suggest the MANOS Carpal Tunnel Release device to be safe and effective. Type of study/level of evidence: Therapeutic IV. © 2012 American Society for Surgery of the Hand.
McCormack, B., Bowen, W., Gunther, S., Linthicum, J., Kaplan, M., & Eyster, E. (2012). Carpal tunnel release using the MANOS CTR system: Preliminary results in 52 patients. Journal of Hand Surgery, 37 (4). http://dx.doi.org/10.1016/j.jhsa.2011.12.033